# CRIMSON CARE PHARMACY GROUP II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cody Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821501016
- **Authorized official:** NAN BASS CPHT (OFFICE MANAGER/CERTIFIED PHARMACY T)
- **Authorized official phone:** (903) 885-2639

## Contact information

- **Practice address:** 1505 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4921
- **Practice address phone:** (903) 885-2639
- **Practice address fax:** (903) 335-8989
- **Mailing address:** 1505 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4921
- **Mailing address phone:** (903) 885-2639
- **Mailing address fax:** (903) 335-8989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 31656 | TX | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2017
- **Last updated:** 06/27/2023